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FINAL INSPE-CTIO <br />205 West 9th Street <br />Tracy, California <br />124 Sycamore Street <br />manteca,ccii fornia <br />300 West Oak Street <br />Loci!, California <br />1601 E. Haze/ton Ave- <br />Stockton, California <br />• <br />KA EP RTMENT USE ONLY <br />APPLICATION ACCEPTE <br />REVIEWED BY . .• <br />BUILDING PERMIT ISSU <br />Alterations and/or recommepations: <br /> DATE 41-448 <br />DATE <br />DATE <br />IN LOCAL HEALTH DISTRICT <br />Date. <br />FOR OFFICE USE: <br />APPLICATION. FOR -SANIfATION PERMIT <br />(Complete in Duplicate) <br />This Permit Expires 1 Year From Date Issued <br />Permit No. <br />Date Issued <br />Application is hereby made' to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br />This application is made in compliance with County Ordinance No. 549. 2-0 o <br />JOB ADDRESS AND LOC PON 1.6 el-5 TA1 64A-iurp.p4 73 11 t& 0/ /49.4145tx/ dr4z <br />AikL. UiLFT , Phone <br />anAdiuntetae,,Titv4.04.4-F, <br />atom- )40P mai) <br />Commercial Trailer Court 0 Motel 0 Other 0 <br />Number of living units: Number of bedrooms Number of baths ./ Lot size <br />Water Supply: Public system 0 Community system 0 Private Depth to Water Table Arft. <br />Character of soil to a depth of 3,feet: Sand D Gravel 0 Sandy Loam [3 Clay Loam 0 Clay 0 Adobe Er Hardpan 0 <br />Previous Application Made:. Illf yes, date . I No Er"' New Construction: Yes I2r---N-o 0 FHA/VA: Yes fl No ' <br />TYPE OF INSTALLATION AND SPECIFICATIONS: <br />(No septic tank or ceitspool permitted if public sewer is available within 200 feet.) <br />Owner's Name Name <br />Address $ 6,161MD k.IW. 0 Al RO <br />II! CADA5Ct Contractor's Name.._ <br />a04c <br />Installatidp Will serve: Residence D Apartment House 0 <br />No. of jbmpartments Size .8 9 xio Liquid depth 15'1 <br />Distanclfrom nearest well 50 Distance from foundatio <br />Distancellfrom nearest weic.c17.0 Distance from foundation. .O Material et, IVOR elM ts' <br />Ca pacity____16122Fai <br />Number Iof fines <br />Type ofiilter material_ <br />Distance :to nearest well_ <br />Number' of pits Lining material Size: Diameter Depth <br />Distancj from nearest well Distance from foundation Lining material <br />Size: Dilmefer Depth Liquid Capacity gals. - - - ---.-7, .....-- -..........i.:..- .-i.... , .4,,, , . .44.• .-.. ' Distance ,from n well Di ea rest stance from nearest building <br />- %. <br />ii• Distance' to nearest lot line <br />Septic Tank: , <br />ErEIA1611°1' <br />Disposal Field: <br />Er <br />Seepage Pit: <br />Cesspool: <br />. — _ <br />Privy: <br />Distance to nearest lot <br />Length of each line Q Width of trench 2' . <br />Total length ...........S........ PrEc..).wcx Depth of filter material 15 <br /> Distance from foundation Distance to nearest lot line <br />Remodeling and/or repairin6 (describe]. <br />I hereby certify that I Fitve prepared this application and that the work will be done in accordance with San Joaquin County <br />ordinances, State laws, and 'Pules and regulations of the San Joaquin Local Health District. .1 <br /> (Owner and/or Contractor) <br /> (Title) <br />ells, buildings, etc., can be placed on reverse side). <br />(Signed).- <br />By - <br />(Plot plan, showing size of lot, location of system in relation fo <br />Ilh